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s-f • ~' <br />~~ ~ ~ <br />ANNUAL FEE and REPORT REQUE~STf <br />PERMITTEE NAME: Aggregate Industries -WCR, Inc. / <br />PERMIT NO.: M-1994-027 <br />OPERATION NAME: Longmont Operation <br />ANNIVERSARY DATE: December 31, 2007 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Weld <br />DEC 10 207 <br />Didi3ior~ of rteF:i~;d.t~4lert, <br />Mining anry \ alo4y <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur _ <br />- -- -duffing the upcoming year, reclamation that wiIl be performed during the coming year,- the dates for the beginning _ <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's man are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffrce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Connie N. Davis <br />Permittee Name: Aggregate Industries -WCR, Inc. <br />Address: <br />Golden, CO 80401 <br />Phone Number: <br />Fax Number: <br />1707 Cole Blvd., Ste. 100 <br />(970) 353-2005 <br />(970) 378-6856 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~~ mil- L~~%u~ <br />Signature of Corporate Officer, Owner, or Designee <br />/a- ~-o ~ <br />Date <br />